204544 (SFD)VENT SYSTEM Q,FAN ❑ EVAP. COOL,111 HOOD
"' SIGN WASHER (AUTOVDISH) a
DEPARTMENT OF BUILDING & SAFETY
TRANS -
SR O K.W. GARBAGE DISPOSALFORM
FURNACE ❑ UNIT ❑ WALL Of FLOOR ❑ SUSPENDED
OUTLETS LAUNDRY TRAY
•
COUNTY OF RIVERSIDE •
FIELD OFFICE
CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR _:� 3" 0 HP
C POLE ,�. LAVATORY (}�
APPLIANCE VENT
AMPERES SERV. ENT. {J SHOWER
ABSORPTION SYSTEM O B.T.U.
CONSTRUCTION ESTIMATE
ELECTRICAL FEES
PLUMBING FEES
1 ST FL.
SQ. FT. RESID. @ 14 SEWAGE DISPOSAL � f) U
SQ. FT.
@
NO.
NO.
SQ. FT.
@
PER
2ND FL.
HEAT & VENT. FEE
SQ. FT.
@
MOTOR I OR LESS H.P.
SPEC. INSP. FEE
POR.
DBL.
SQ.FT.
�g
@ "�" 1
`� MOTOR 5 OR LESS H.P.
j
GAR.
I
CAR P.
jLEC.
J
SQ. FT.
@
MOTOR 20 OR LESS H.P.
DRAINAGE PIPING
WALL
O N D �t
O N D
SO.FT.
@
DRINKING FOUNTAIN
SQ. FT.
@'*
JOB ADDRESS b
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DK W. UNITS
WATER PIPING
j
! ESTIMATED VALUATION
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FLOOR DRAIN
!
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM Q,FAN ❑ EVAP. COOL,111 HOOD
"' SIGN WASHER (AUTOVDISH) a
APPLIANCE j
TRANS -
SR O K.W. GARBAGE DISPOSALFORM
FURNACE ❑ UNIT ❑ WALL Of FLOOR ❑ SUSPENDED
OUTLETS LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIXTURE OR SOCKET % KITCHEN SINK } �»
GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL
CONST. SERV. ENTRANCE WATER CLOSET
COMPRESSOR _:� 3" 0 HP
C POLE ,�. LAVATORY (}�
APPLIANCE VENT
AMPERES SERV. ENT. {J SHOWER
ABSORPTION SYSTEM O B.T.U.
SQ. FT. @ ¢ 4` BATH TUB
INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.
SQ. FT. @ ¢ ! WATER HEATER ^�
HEATING SYSTEM a FORCED ❑ GRAVITY
SQ. FT. RESID. @ 14 SEWAGE DISPOSAL � f) U
BOILER I B.T.U.
SQ. FT. GARAGE @1�2¢ }S HOUSE SEWER
PERMIT FEE
j} BALANCE OF MIN. FEE j GAS PIPING
TRAILER ISSUANCE FEE - PERMIT FEE
PERMIT FEE PERMIT FEE
PER
TOTAL FEES REN. TRAILER FEE
HEAT & VENT. FEE
PL. CK. FEE CONST.
FEE
l;rt:/
DBL. ELEC./FEE DBL.
SPEC. INSP. FEE
PLU MIB ING fEE
DBL.
jLEC.
J
_Ij 1,M -, A _. M_
_ _ J F M A M
_ J J A S- r
J .l A S
O N D �t
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ET
LOT SIZE.
USE #
JOB ADDRESS b
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USE OF BUILDING
DATE
PLAN CHECK FEE
f
dpi
r
1 I.:?
- 1 -7
CHECKED BY
COMMUNITY i DISTRICT
F. C.
UNITS
VALUATION
OFFICE
f
J
MECHANICAL FEE
� j�
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,�
j
f ,�
/C_ .:
DBL
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TYPE
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CONSTRUCTION FEE
DBL
PIAN
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�
SUPP. TO PERMIT
f -y
fy
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ELECTRICAL FEE
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tp �- ®� � -
DBL
BOND f
BOND
CASH
PLAN FILEy
DATE
INSPECTOR
PLUMBING FEE
f
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V
NAME O CSTRUCTION LENDER
BRANCH OFFICE
LENDER
TRAILER PERMIT
f
IN
VOLVED
ISSUANCE FEE
n
n :3
A RESS
CI
STA�T^E+
FEE
f
IV f*yZl lT ClioTHIS
�
E WITHIN 60 DAYS. CESSATION
ERMT SHALL BECOE VOID IF WRK IS COMMNCED
TOTAL FEES
$
OF WORKPFOR1120 DAYS SHAALL ALSO CAU EOPERM T TIOTBECO VOID,
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCOR-
DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND TH,E STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY. COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE
CASH Q CHECK M.O. N.C.
RECEIVED BY SEWAGE SYSTEM
OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED.
1 HEREBY CERTIFY THATTHE INDIVIDUALWHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE
"_1&zteAT LL P
SOSO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE
OF CALIF RNI
INFOR ATI
/�Ck jjij�T
OWNER >
CONTRACTOR
,(
ADDRESS
-
ADDRESS
04
TEL. ]TEL_
NO. "
LICENSE NO. '